Hotel Reservation Form “Eurpean Narratology Network 4” 13th – 19th of April 2015” Please send your Hotel Registration Form before the 20th of February to the direct fax number of the Reservations Department +32 9 223 78 21. Or direct mail: [email protected] Reservations received after 20th of February are subject to availability. PERSONAL DETAILS (please use block capitals): Title : Miss. / Mrs. / Mr. ____________________________________________________ Company Name ----------:______________________________________________________________________ Name :______________________________________________________________________ Address :______________________________________________________________________ Postal Code :_____________________________ City: __________________________________ Country :______________________________________________________________________ Tel :______________________________________________________________________ Fax :______________________________________________________________________ Email :______________________________________________________________________ ACCOMMODATION DETAILS: Arrival Date Departure Date :___________________________ :___________________________ Occupancy: Standard Room: Arrival time Departure Time : ___________________ : ___________________ € 120.00 per single room per night, breakfast buffet included € 135.00 per double room per night, breakfast buffet included City tax supplement: € 3.00 per person per night. GUARANTEE In order to guarantee the booking, valid credit card details need to be provided. The credit card will only be debited in case of no-show or failure to cancel the reservation in accordance with the cancellation policy as stipulated below Credit Card Type Credit Card Number Expiration Date Signature Card Holder : : : : _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ CANCELLATION POLICY The amount of compensation owed by the customer to the hotel as the result of cancellation is a percentage of the total amount of the cancelled service as specified in the pro forma invoice and is applied as follows: - Cancellation not later than the 30th day before arrival: - Cancellation from the 29th to the 15th day before arrival: - Cancellation from the 14th to the 8th day before arrival: - Cancellation less than 8 days before arrival: In the event of a no-show, the customer is liable to pay 100% of the total amount forma invoice. DATE: __________________ SIGNATURE: 0% 50% 75% 100% of the pro __________________ _____________________________________________________________________ NH Gent Belfort Hoogpoort 63 – 9000 Gent, Belgium Tel: +32 9 233 33 31 Fax: +32 9 233 11 02